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emHELP and supporting EGPAF Tanzania mHealth Working Group meeting, 15 August 2013 Peter Benjamin mHealth Alliance. Outline. emHELP – capacity building arm of mHealth Alliance Technical Assistance with EGPAF Tanzania Lessons learnt & next steps. Mhealth Alliance | 2.

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emHELP and supporting EGPAF Tanzania

mHealth Working Group meeting,

15 August 2013

Peter Benjamin

mHealth Alliance


Outline

  • emHELP – capacity building arm of mHealth Alliance

  • Technical Assistance with EGPAF Tanzania

  • Lessons learnt & next steps

Mhealth Alliance | 2


Needs for building capacity in mHealth

  • Great and increasing interest in mHealth

  • Lack of proven models of what works

  • Great potential

  • Also considerable scepticism

  • Good experience in the many organisations

  • But difficult to access expertise

Mhealth Alliance | 3



Levels of Evidence for scale in health system

  • Technical design,

  • Systems analysis. Software, hardware, network

  • 2. USABILITY

  • Will people use it?

Mhealth Alliance | 5


Levels of Evidence for scale in health system

  • Technical design,

  • Systems analysis. Software, hardware, network

  • 2. USABILITY

  • Will people use it?

  • Will people keep using after 6 months?

  • User-centred design,

  • Soft systems design,

  • marketing, training, workflow.

  • Human-computer interface.

Mhealth Alliance | 6




emHELP

eHealth & mHealth Expert Learning Network

The capacity building arm of mHealth Alliance

Mhealth Alliance | 9


  • Obstacles to implementing mHealth from partner discussions in-country)

  • BASIC RESOURCES:

  • Funding

  • Short-term funding / sustainability issues

  • Difficulty scaling pilots

  • GOOD HUMAN RESOURCES:

  • Lack of competent workers with mH experience

  • Training & Capacity building

  • AWARENESS:

  • Awareness of doctors in using mHealth

  • Education of Govt and health organizations of mHealth

  • Public awareness & education about mHealth

  • INFRASTRUCTURE:

  • Reliability of cellular networks

  • Recharging in rural areas

  • Cost of devices / SMS / mobile internet bandwidth

  • COLLABORATION:

  • Cooperation and local networks supporting mHealth


Build the capacity of EGPAF Tanzania to strategize, implement, monitor and manage mHealth integration into EMTCT programs

Goal:

Objectives:

1) Increased mHealth capacity of EGPAF

2) Increased program impact

3) Prototype for builidng org. mHealth capacity


Simple Process Flow for Needs Assessment implement, monitor and manage mHealth integration into EMTCT programs


Criteria
Criteria implement, monitor and manage mHealth integration into EMTCT programs

  • Implementation time in conjunction with the rollout of B+

  • Compatibility & interoperability of existing systems

  • Not “reinventing the wheel” – duplication of processes, systems

  • Easy to support and maintain

  • Potential for scalability and sustainability

  • Not too technical or complex for existing & trained staff


Recommendations the system will
Recommendations. implement, monitor and manage mHealth integration into EMTCT programs The system will:

  • provide decision-support for health workers to provide appropriate quality care in all patient encounters

  • will allow health workers at the health facilities to enter data on patients and health encounters, to retrieve individual patient record information and appropriate reports on patients for management of care (including contacting patients who are lost to follow-up)

  • send clinical care SMSs to the female patients to encourage attendance at the facility


Project partners
Project partners implement, monitor and manage mHealth integration into EMTCT programs

  • EGPAF: “Owner of the project”,

    All implementation logistics

  • mHealth Alliance: Technical Assistance, needs

    assessment, building capacity of EGPAF, M&E

  • D-tree International: Technical implementer

    Electronic protocols, data collection, backend

  • University Computer Centre: Health systems links


Current status & next steps implement, monitor and manage mHealth integration into EMTCT programs

  • MOU & SOW late drafts, signing in August

  • Develop and test electronic protocols & data collection in September

  • Meetings with MoHSW & partners in September

  • Implement from October in 10 sites Nzega (Option B+)

  • M&E and track for 1 year

Mhealth Alliance | 16


Lessons Learnt implement, monitor and manage mHealth integration into EMTCT programs

  • Importance of strong partnerships

  • Build on existing tools – many moving parts, try to simplify & take small steps

  • Need Ministry involvement from the start

  • Need to learn at each stage to continuously improve – quality control & feedback

Mhealth Alliance | 17


Thank You! implement, monitor and manage mHealth integration into EMTCT programs

Dr Peter Benjamin

mHealth Alliance

eHealth & mHealth Expert Learning Program (emHELP)

[email protected]

+27 82 829 3353

Skype: peterbenjamin

“These tools don’t get socially interesting until they are technologically boring”

Clay Shirky, 2011


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